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Contract Number Brand Code Brand Name Active Ingredient Trade Name Package Size Formulary Category Pkg Price Unit Price Unit Description Max. Reimbursable Quantity / Month Package Description Manufacturer Code Manufacturer Name Agent Code Agent Name Benefit Therapeutic Code Therapeutic Desc Drug Contract Start Date Drug Contract End Date Status Description Default Route Max Repeats Therapeutic Head Amend Date
40 07027 MESTINON 60MG TAB (VCL/COL) PYRIDOSTIGMINE PYRIDOSTIGMINE MESTINON 100'S C 217.47 2.17 TABLET 0 TAB VCL VALEANT CANADA LTD COL COLLINS LTD 1204 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS 2022-04-01 2024-03-31 Oral 0 AUTONOMIC DRUGS
41 07027 MESTINON 60MG TAB (VCL) PYRIDOSTIGMINE (C) PYRIDOSTIGMINE MESTINON 100'S C 217.47 2.1747 TAB 180 BOX VCL VALEANT CANADA LTD COL COLLINS LTD 1204 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS 2024-04-01 2026-03-31 ORAL 6 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS
40 0702C PYRIDOSTIGMINE 60MG TAB (SLS/AHI) PYRIDOSTIGMINE PYRIDOSTIGMINE 50'S A 31.10 0.62 TABLET 180 TAB SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 1204 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS 2022-04-01 2024-03-31 Oral 6 AUTONOMIC DRUGS
41 0702F PYRIDOSTIGMINE 60MG TAB (FSB) PYRIDOSTIGMINE PYRIDOSTIGMINE 30'S A 8.21 0.2736 TAB 180 BOX FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 1204 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS 2024-04-01 2026-03-31 ORAL 6 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS